How to manage puberty and prevent fertility disorders in men with CAH? - 28/05/22
Abstract |
Gonadal dysfunction is an adverse outcome in patients with congenital adrenal hyperplasia (CAH), which may become apparent already during puberty. In males, gonadal dysfunction can be caused by primary gonadal failure due to testicular adrenal rest tumours (TART), and by secondary gonadal failure due to poor hormonal control. Yearly evaluation for TART using ultrasonography is recommended from the start of puberty or even earlier when poor hormonal control is present. We recommend yearly evaluation of gonadal function by measuring LH, FSH, testosterone, and inhibin B. When TART is present, cryopreservation of semen should be considered as soon as possible.
El texto completo de este artículo está disponible en PDF.Keywords : Congenital adrenal hyperplasia, 21OH deficiency, infertility, Testiculars adrenal rest tumors, hypogonadism
Abbreviations : CAH, TART, 21OHD, 17OHP, P
Esquema
Vol 83 - N° 3
P. 186-187 - juin 2022 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.